Organization Active NPI

Marc E Lieberman

  • Specialist
  • Vero Beach, FL
National Provider Identifier
1487045662
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME50784 Issued in FL
Legal business name
MARC E LIEBERMAN
Practice address
1600 36TH St Ste a
Vero Beach, FL 32960-4875
Phone
(772) 569-7800
Fax
(772) 569-9252
NPI assigned
Feb 10, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marc E Lieberman, M.D.NPI 1891720488
Title
Physician
Phone
(772) 569-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME50784 FL Primary

Addresses

Primary practice location

1600 36TH St Ste a
Vero Beach, FL 32960-4875

Mailing address

1600 36TH St Ste a
Vero Beach, FL 32960-4875
Phone (772) 569-7800

National Provider Directory

National Provider Directory

Locations

1600 36th St
Ste A
Vero Beach, FL 32960
Phone (772) 564-1799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1487045662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604875",
            "telephone_number": "772-569-7800",
            "fax_number": "772-569-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604875",
            "telephone_number": "772-569-7800",
            "fax_number": "772-569-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC E LIEBERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-569-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME50784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.